It has been identified that there is a high prevalence of families living with obesity Greenwich Borough. Adult Tier 3 services have been delivered since 2015 and research suggests that there is an opportunity to develop the existing service into a family approach for the management of complex obesity. Join OHID London for an overview of the design, development and delivery of a Children and Young person’s multi-disciplinary Tier 3 weight management pilot service delivered in The Royal London Borough of Greenwich.